NPIMap

Organization Active NPI

Baylor University Athletic Training

  • Athletic Trainer
  • Waco, TX
National Provider Identifier
1194946178
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Legal business name
BAYLOR UNIVERSITY ATHLETIC TRAINING
Practice address
1500 S University Parks Dr
Athletic Training Dept.
Waco, TX 76706-1211
Phone
(254) 710-1234
Fax
(254) 710-4307
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael R Sims, ATC, LAT
Title
Athletic Trainer
Phone
(254) 710-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic TrainerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2255A2300X TX Primary

Addresses

Primary practice location

1500 S University Parks Dr
Athletic Training Dept.
Waco, TX 76706-1211

Mailing address

1500 S University Parks Dr
Athletic Training Dept.
Waco, TX 76706-1211
Phone (254) 710-1234

National Provider Directory

National Provider Directory
Tax ID family
Baylor University5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1194946178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S UNIVERSITY PARKS DR",
            "address_2": "ATHLETIC TRAINING DEPT.",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767061211",
            "telephone_number": "254-710-1234",
            "fax_number": "254-710-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S UNIVERSITY PARKS DR",
            "address_2": "ATHLETIC TRAINING DEPT.",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767061211",
            "telephone_number": "254-710-1234",
            "fax_number": "254-710-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR UNIVERSITY ATHLETIC TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ATHLETIC TRAINER",
        "authorized_official_telephone_number": "254-710-1234",
        "authorized_official_credential": "ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.